patient accounts manager

Kaweah Health

<div>Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.
It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do &mdash; in the health of our patients, our loved ones, and our community.
Benefits Eligible
Full-Time Benefit Eligible
Work Shift
Day - 8 Hour or less Shift (United States of America)
Department
8530 Patient Financial Services
Maintains complete and full knowledge of payer(s) assigned to ensure accurate billing and collection of the claims. Validates that the Kaweah Health is being reimbursed by the payer in accordance with government or contract terms.
QUALIFICATIONS
Education
Preferred: High school diploma or equivalent
Experience
Required: Prior Patient Accounting or admissions experience. Comparable medical billing education may be considered.
JOB RESPONSIBILITIES
Essential
Maintains complete and full knowledge of payer(s) assigned to ensure compliance of specific guidelines and rules, as well as ensuring the Kaweah Health is being reimbursed by the payer in accordance with governmental or contract terms. Is a resource to Finance division management regarding the assigned payer.
Brings any reimbursement or compliance concerns to the attention of the Patient Accounting Manager.
Utilizes computer systems and/or billing reports to review all patient registrations or admissions for demographic information, appropriate financial class, insurance company and plan, and charges. 100% accuracy of this information is required to ensure proper recording of revenue, necessary authorizations are obtained, payer classification, correct billing of patient account, and other statistical indicators. Brings any unresolved issues to the attention of their manager.
Audits unbilled reports for potential holdups of patient accounts. Works closely with Medical Records on coding issues, Insurance Verification Clerk on insurance issues and other departments as necessary.
Completes billing process. Ensures all charges are accurate and appropriate. Payer guidelines will be followed during the billing process. After billing has been completed, uses appropriate charge description master (CDM) number to identify the payer and when the account was billed. Works closely with departments on unresolved issues.
Reviews and researches patient account credits and refunds as appropriate to patient and/or payer. For governmental payers, has the credit retracted.
Receives all correspondence and inquiries related to patient accounts and payer contract for which they are responsible. Answers mail and take appropriate action within specified timeframe.
Bills any secondary payers, change financial classes accordingly and sends appropriate collection system letter to patient for co-pays and deductibles owed, denied services, amounts applied to deductible, etc. Uses correct CDM code to identify what secondary payer was billed and when.
Reviews and works aging reports to identify unpaid patient accounts. Follows up with payers for timely reimbursement.
Works to ensure that days in accounts receivable goals are met maintained and/or lowered. Maintains job productivity and quality standards on a consistent basis as established by division management.
Answers phones as a back up to other departmental staff. Takes messages or routes calls as appropriate. As back up, assists customers at the service counter.
Conforms with patient confidentiality standards.
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Performs other duties as assigned.
Addendum (essential for specific dept)
Insurance or managed care payer:
Has complete knowledge of assigned insurance payer, knows contract terms, requirements and payment practices.
Receives prior day's explanation of benefits or remittance advices for assigned payer(s). Reviews to ensure that appropriate contractual adjustments have been taken by payer. Works closely with payer to resolve issues and brings continued problems to the attention of their manager.
Monitors patient accounts for secondary payer reimbursement.
Medicare payer:
Gets electronic remittance advice (R/A) ready for the Accounts Receivable Clerks. Distributes Medicare mail.
Reviews DRG worksheet for accuracy of reimbursement. Reviews all denied changes for appropriateness.
Reviews the Pending Billing List report and deletes non-covered services. Checks for overlapping claims through accounts receivable inquiry (ARI).
Reviews and processes recurring accounts according to procedure.
If responsible for professional billing, processes these bills according to procedure.
Reviews and follow up on the DDE system.
Medi-Cal payer:
Maintains full and complete knowledge of the regulations governing the Medi-Cal payer.
Reviews the Pending Billing List report and/or the Final Accounts and Cycle Billed report. Follow up is completed according to procedure.
Reviews and processes R/A's following procedure.
Reviews MEDTRIEVE data to identify problems in billing. Reviews statistical data with their Manager to maximize reimbursement
Reviews Medi-Cal TAR Dashboard weekly for any follow up on approved or denied TARs.
Self-pay accounts:
Responsible for the administration of the Computer Collection letter service interface (CCI) process.
Prepares and completes the bad debt write-off and assignment to the collection agency.
Acts as a liaison to the collection agency and works with patients regarding hospital accounts assigned.
Responsible to identify patient accounts that may qualify for charity care. Works with patients who inquire about charity program.
Monitors patient accounts pending the Medi-Cal disability process and/or TCMS program.
Responsible for the estate lien filing in the case of deceased patients to assure that the Kaweah Health receives payment on accounts.
Lead also responsible for:
May be responsible for educating individuals in the Patient Accounting Department on new processes and/or payment regulations.
May be assigned to develop training curriculum on new processes.
Provides department staff with information regarding updates or changes.
May serve as a Subject Matter Expert (SME) for systems issues and claim payment issues.
Identifies, investigates, and appropriately communicates account errors in order to prevent further errors.
Proactively and critically analyzes departmental processes and products, makes continuous improvements.
Keeps the Director of Patient Financial Services informed of any potential issues or areas of concern on an ongoing basis.
Pay Range
$23.37 -$35.05
If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.</div>

Patient Account Specialist

HealthRev Partners

<div>Job Summary: 
The RCM Specialist for Home Health &amp; Hospice plays a crucial role in ensuring the efficient and accurate processing of claims and patient accounts, contributing to the organization's financial health. They possess a comprehensive understanding of revenue cycle processes and demonstrate expertise in resolving complex claims and patient billing issues. 


Essential Duties and Responsibilities:
<ul>
<li>Lead and optimize the full revenue cycle process from billing the claim to final payment collection.</li>
<li>Collaborate with the RCM team to maintain a clean and compliant revenue cycle.</li>
<li>Generate claims accurately from EMR system to clearinghouse and monitor the claim following HRP standard protocol.</li>
<li>Resubmit claims corrected as needed and communicate issues that need to be resolved.</li>
<li>Communicate unbilled and billed claim holds to Team Leader or RCM Manager.</li>
<li>Analyze and resolve complex claims denials and appeals.</li>
<li>Investigate and address patient billing discrepancies and disputes.</li>
<li>Identify and implement strategies to improve revenue cycle performance as needed.</li>
<li>Collaborate with cross-functional teams to implement and manage assigned RCM accounts.</li>
<li>Participate in revenue cycle audits and compliance reviews (quality review checks).</li>
<li>Develop and maintain accurate and up-to-date documentation of all claims and patient accounts.</li>
<li>Provide training and support to other RCM team members.</li></ul> 


Key Performance Indicators (KPIs):
<ul>
<li>Clean claim rate &gt;95%</li>
<li>Aged AR &lt; 20% of total AR</li>
<li>Meets productivity expectation of 45 non-Medicare claims per day or 75 Medicare</li>
<li>Net collection rate of &gt;95%</li>
<li>Meets and passes 100% of quality review checks completed by RCM Manager</li></ul> 


Qualifications:
<ul>
<li>3&ndash;5 years of experience in revenue cycle management in the home health and hospice realm</li>
<li>Proficient in Microsoft Office Suite 365</li>
<li>Proficient in home health and hospice electronic health records (EHR) systems</li>
<li>Strong understanding of insurance billing and coding procedures</li>
<li>Excellent communication, problem-solving, and analytical skills</li>
<li>Ability to work independently and as part of a team</li>
<li>Proven track record of success in resolving complex claims and patient billing issues</li></ul> 


Benefits:
<ul>
<li>Competitive salary and comprehensive benefits package, including health insurance, dental insurance, vision insurance, paid time off, and 401k savings plan</li>
<li>Opportunity to work in a dynamic and growing healthcare organization</li>
<li>Professional development and training opportunities</li>
<li>Contribution to the organization's financial success and patient satisfaction</li></ul></div>

RCM Specialist- Home Health and Hospice

ENOVIS

<div><h2 class="jobSectionHeader">Who We Are</h2>
ABOUT ENOVIS&trade;
Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company&rsquo;s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com.
What You'll Do<div></div><div><div><div><div><div><div><div><div>
Job Description
We are seeking a talented and driven professional to join our team in the exciting medical device sales industry. This is a perfect opportunity for a recent grad or someone looking for a service role leading to a career in sales. This individual learns the ropes and assists in sales growth for Palm Beach and Martin County Florida area.
The Sales Associate is responsible for working with the Senior Territory Manager, Patient Care Services PCS) Representatives, and Doctor&rsquo;s offices to facilitate efficient insurance authorizations and placements for DJO&rsquo;s products. The Sales and Service Associate will also partner closely with the Territory Manager in his/her geographical area to learn the Bone Growth Stimulator business and assist with identifying and cultivating potential customers and closing business. The primary focus of this role pertains to servicing customers. This includes fitting patients and following up with Health Care Providers on the status of patients.<div>
ESSENTIAL FUNCTIONS: 
<ul><li>Partners with the Territory Manager in all aspects of the sales call pattern, including but not limited to, covering accounts in the assigned territory, promotion of the products in assigned accounts, managing inventory, and, as he/she learns and grows, beginning to convert customers to DJO.</li></ul></div><div> 
Sales Support 
<ul><li>Partners with the Territory Manager and organization to meet and exceed business targets (quotas).</li><li>Serve as the primary backup contact for Territory Manager(s).</li><li>Responsible for keeping the Territory Manager informed of all sales related activity, market trends, and competitor activity within the territory.</li><li>Coordinates daily/weekly scheduling to ensure proper coverage of patient appointments and physicians and clinicians calls.</li></ul></div><div> 
Sales Activity 
<ul><li>Assists Territory Manager in identifying and qualifying potential sales leads.</li><li>Introduces the Company&rsquo;s products to potential customers.</li><li>Cultivates customer relationships by initiating contact with surgeons, physicians, therapists, and other device users.</li><li>Partners with Territory Manager(s) on inventory management and building of proper inventory levels and sets to meet customer needs.</li></ul></div><div> 
Product Knowledge 
<ul><li>Following product training, tailors DJO&rsquo;s promotional message based upon knowledge of the customer, advises on appropriate product selection, answers customer questions about product functionality and distinguishes DJO products from those of DJO&rsquo;s competitors.</li><li>Provides education to patients on the application, use, care, and expected outcome for CMF products as indicated by the physician instructions and manufacturer recommendations.</li><li>Delivers, sets up, instructs, and educates patients on the safe and appropriate use of CMF products at medical facilities or private residences.</li><li>Assists with equipment delivery, set-up, follow-up, and service as needed.</li></ul>
Administrative 
<ul><li>Coordinates, prepares, gathers and submits accurate paperwork required for insurance billing in a timely manner.</li><li>Obtains accurate insurance information to be used for verification and pre-authorization, when appropriate.</li><li>Processes all patient documentation daily, ensuring that claims are accurate, timely and fully documented.</li><li>Follows up on all open accounts, maintaining thorough chronological records on each patient account.</li></ul>
Compliance 
<ul><li>Demonstrates commitment to the DJO Compliance &amp; Ethics Program, the DJO Code of Conduct, the DJO Sales and Marketing Code of Conduct, the AdvaMed Code of Ethics, and all supporting and applicable regulations, policies and procedures.</li><li>Treat Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards.</li><li>Acquires a basic understanding of the field to include regulatory compliance issues and adhere to these guidelines.</li><li>Other duties as assigned.</li></ul></div><div>
QUALIFICATIONS: 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are 
representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities 
to perform the essential functions. 
Experience 
 
<ul><li>High proficiency in MS Office required.</li></ul>
Education 
<ul><li>High School Diploma or GED required.</li><li>Bachelor&rsquo;s Degree in Business, Marketing, or related healthcare field preferred</li></ul> 
Other 
<ul><li>Must possess a valid Driver&rsquo;s License and current automobile insurance.</li><li>Must be able to relocate in the specified geography upon assignment to Territory Manager role.</li><li>Must be willing to remain in the Sales Associate role for a minimum of one year.</li><li>Endorsement and approval of Regional Director and Vice President, Sales is required to move to a Territory Manager role.</li></ul>
General Skills/Competencies/Specialized Knowledge 
<ul><li>Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental</li></ul>
regulations. 
<ul><li>Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.</li><li>Technical Skills &ndash; Demonstrates necessary eagerness to acquire necessary technical knowledge, skills and judgment to serve customer</li></ul>
needs and accomplish goals. Assesses own strengths and weaknesses. Pursues training and development opportunities. Strives to 
continuously build knowledge and skills. 
<ul><li>Quality Management &ndash; Demonstrates attention to detail. Looks for ways to improve and promote quality. Demonstrates accuracy and</li></ul>
thoroughness. Communicates changes and progress. 
<ul><li>Analytical and Mathematical Skills &ndash; Synthesizes complex or diverse information. Ability to calculate figures and amounts such as</li></ul>
discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra 
and geometry. 
<ul><li>Written Communication &ndash; Writes clearly and informatively. Varies writing style to meet needs. Able to read and interpret written</li></ul>
information. Ability to write reports, business correspondence, and procedure manuals. 
<ul><li>Verbal Communication &ndash; Speaks clearly and persuasively in positive or negative situations. Listens and gets clarification.</li><li>Interpersonal Skills &ndash; Ability to work with co-workers and customers, both internal and external, of all levels. Ability to professionally</li></ul>
interact and build constructive and effective relationships. Ability to effectively interface with others on behalf of the organization. 
<ul><li>Problem Solving &ndash; Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited</li></ul>
standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Gathers and 
analyzes information skillfully. Develops alternative solutions. Uses reason even when dealing with emotional topics. 
<ul><li>Decision Making &ndash; Exhibits sound and accurate judgment. Includes appropriate people in decision-making process. Identifies and resolves</li></ul>
problems in a timely manner. 
<ul><li>Adaptability &ndash; Embraces and adapts to change and demonstrates a willingness to learn. Ability to respond quickly to change, and to</li></ul>
prioritize actions to meet customer needs. 
<ul><li>Collaboration and Teamwork &ndash; Works collaboratively and cooperatively with teams cross-functionally. Energetic and willingness to work</li></ul>
closely with all team members to achieve success. 
 
<ul><li>Business Acumen &ndash; Understands business implications of decisions. Develops a strong grasp of business concepts and related issues.</li></ul>
Shows understanding of issues relevant to organization. Keeps up to date with current practices and trends. Develops and uses cross functional 
knowledge. 
<ul><li>Customer Orientation &ndash; Demonstrates a keen understanding of various customers&rsquo; (internal or external) needs and utilizes a variety of</li></ul>
resources to provide solutions and a compelling value proposition. 
<ul><li>Computer Skills &ndash; Proficient computer system based tools including Microsoft Office applications, e-mail, web browsers and spreadsheet</li></ul>
software. Experience with Salesforce.com preferred.</div><div>
TRAVEL REQUIREMENTS/WORK ENVIRONMENT AND PHYSICAL DEMANDS: 
Travel 
<ul><li>Must be able to travel up to 25% of the time.</li><li>Considerable time spent traveling in car.</li><li>Must be willing to travel to various locations upon request, using own transportation. Travel may be a routine or scheduled, or may change</li></ul>
from day to day.</div></div></div></div></div></div></div></div></div>
EQUAL EMPLOYMENT OPPORTUNITY 
Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees&rsquo; beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.</div>

Sales Associate

ELECTROSTIM MEDICAL SERVICES, Inc

EMSI is looking for a motivated Territory Manager (Sales Rep) to join our dynamic team in the Grand Rapids, MI area. EMSI is an industry leading medical device company specializing in home electrical stimulation devices and bracing products for pain management and rehabilitation.What's in it for you:<ul><li>Professional and career advancement opportunities</li><li>Opportunity to work for a stable &amp; growing organization</li><li>Paid training, mentorship, and continuous learning</li><li>Seasoned management to develop &amp; expand your skill sets</li><li>Fun and welcoming culture &amp; work environment</li><li>Compensation includes a base salary with uncapped commission</li></ul>The ideal candidate would possess highly effective communication skills to establish and maintain relationships with providers and clinics to promote the use of EMSI's products.In this role you will:<ul><li>Market EMSI's product line to Physical Therapists, Orthopedics, Pain Management physicians, Podiatrists, Neurosurgeons, and other relevant providers</li><li>Maintain professional and technical knowledge of all EMSI's devices and services</li><li>Facilitate meetings to present product line, process, and ease of use</li><li>Establish relationships to increase market share in the territory</li><li>Provide patient instruction and education</li><li>Consistently communicate with your direct manager and accounts</li><li>Other duties as assigned</li></ul>Requirements include:<ul><li>Experience in cold calling and opening new accounts</li><li>Excellent interpersonal and communication skills</li><li>Strong sense of urgency</li><li>Experience in making multiple visits and calls to Medical Professionals daily</li><li>Self-starter, entrepreneurial spirit, attention to detail, well organized, and strong problem-solving abilities</li><li>Bachelor's degree preferred OR B2B sales experience</li><li>Prior healthcare experience preferred but we have top sales reps from diverse backgrounds</li><li>Residence within the current geography or close proximity of the territory is required</li></ul>Job Type: Full-timePay: $65,000.00 - $125,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: On the road

Territory Manager / Medical Sales Rep

Enlyte

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div> 
Be part of a team that makes a real difference.</div>
Job Description:
<div>
This is a full-time, hybrid position. The candidate must be located in the Washington, DC area due to regular local travel for in-person patient appointments.</div><div></div><div> 
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div> 
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li>Education: Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li>
Experience: 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li>
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li>
Certifications, Licenses, Registrations:
<ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.</li></ul></li><li>
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li>
Internet: Must have reliable internet.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $79,000 - $90,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div> 
</div>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
#LI-AC1<div></div><div> 
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers&rsquo; Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager</div></div>

Medical Field Case Manager

The Plaza at Richardson

<div><h2 class="jobSectionHeader">Join Our Team as a Business Office Manager</h2>

Drive Operational Excellence in Long-Term Care

We are seeking a dependable and detail-oriented Business Office Manager to join our growing team! In this role, you will oversee financial and administrative operations to support accurate billing, compliance, and smooth facility function. Success in this position requires strong organizational skills, professionalism, and the ability to collaborate in a dynamic environment.

<h2 class="jobSectionHeader">Your Impact as a Business Office Manager</h2>

In this role, you will:
<ul>
<li>Manage Accounts Receivable: Maintain records, send collection letters, and follow up on past-due balances
</li>
<li>Support Billing Operations: Process monthly private pay billing, post cash deposits, and verify financial details for new inquiries and admissions
</li>
<li>Process Claims: Submit and follow up on Medicare, MSP, Managed Care, and insurance claims
</li>
<li>Oversee Resident Trust Funds: Maintain accurate trust fund records and ensure compliance with regulations
</li>
<li>Ensure Timely Billing: Complete Medicare/HMO claims by the 5th of each month and bill hospice companies promptly
</li>
<li>Provide Training and Coverage: Train staff to ensure &ldquo;3 Deep&rdquo; office backup coverage
</li>
<li>Collaborate with Teams: Attend interdisciplinary meetings to review admissions, discharges, and payer changes
</li>
<li>Support General Office Tasks: Handle mail, update PCC records, and verify financials for new admissions
</li>
</ul><h2 class="jobSectionHeader">What Makes You a Great Fit</h2>

We&rsquo;re looking for someone who:
<ul>
<li>Has experience in accounts receivable and general financial processes
</li>
<li>Demonstrates excellent organization and multitasking ability
</li>
<li>Is proficient in typing, 10-key entry, and general computer use
</li>
<li>Communicates clearly in English, both verbally and in writing
</li>
<li>Meets deadlines with accuracy and attention to detail
</li>
<li>Cares genuinely for elderly and disabled individuals
</li>
<li>Adheres to safety policies and respects the Patient Bill of Rights and Employee Responsibilities
</li>
</ul><h2 class="jobSectionHeader">Benefits (Full-Time)</h2>
<ul>
<li>Comprehensive Coverage: Health, Dental, and Vision Insurance
</li>
<li>Extra Protection: AD&amp;D, Short-Term Disability, Cancer, Critical Illness, and more
</li>
<li>Life Insurance: Whole and Term Policies
</li>
<li>Professional Growth: Tuition Reimbursement for continued education
</li>
<li>Time to Recharge: Paid Time Off
</li>
<li>Retirement Planning: Immediate 401(k) eligibility
</li>
<li>Unwavering Support: Exceptional corporate resources
</li>
</ul><h2 class="jobSectionHeader">Equal Opportunity Employer</h2>

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div>

Business Office Manager - Long-Term Care

Fresenius Medical Care

<div></div><div><div><h1 class="jobSectionHeader">PURPOSE AND SCOPE:</h1>
Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment.
Be the &quot;face&quot; of one of our outpatient or hospital facilities-and use your administrative skills to impact the lives of our patients and their families. As a secretary/receptionist at Fresenius Kidney Care, you will be an integral part of a cross-functional team, providing administrative support to maintain clinic operations and provide the best customer care for patients living with kidney disease.<h1 class="jobSectionHeader">
PRINCIPAL DUTIES AND RESPONSIBILITIES:</h1>
 Under general supervision, follows established company policies and procedures and applies acquired job skills to:
 Patient Engagement and Front Desk - Responsibilities may include the following based on location and business need:<ul><li>
Answering telephone &amp; routing calls to the appropriate person</li><li>
Professionally greet all patients and guests.</li><li>
Maintain a professional environment at all times. Monitors the reception and waiting areas.</li><li>
Distributing incoming mail.</li><li>
Obtain necessary signatures to ensure the efficient processing of admissions data in accordance with FMCNA policies and procedures.</li><li>
Ensure all aspects of patient confidentiality are maintained at all times</li></ul>
 Scheduling and Registration - Responsibilities may include the following based on location and business need:<ul><li>
Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc.<ul><li>
Prepares medical records for facsimile or mail related to travel, transplant, disability and others.</li><li>
Organizes travel for patients by contacting and providing requested medical records.</li><li>
Coordinates with transient patient paperwork.</li><li>
Coordinates transfer placements and confirmations along with Clinical Manager.</li><li>
Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning.</li><li>
Assist with medical appointment referrals and scheduling.</li><li>
Assist with transportation coordination and referrals.</li></ul></li></ul><ul><li>
Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART.</li><li>
Monthly insurance card scanning</li></ul>
Administrative and Additional Responsibilities - Responsibilities may include the following based on location and business need:<ul><li>
Setting up and maintaining filing systems and basic databases as applicable.</li><li>
Completing forms and reports as required by the various company offices and outside vendors and agencies.</li><li>
Preparing purchase orders using the appropriate software application.</li><li>
Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed.</li><li>
Maintaining inventory of the necessary office supplies</li><li>
Assists in auditing records for ongoing compliance with medical records standards (H&amp;Ps, monthly physician progress notes, care plans, etc).</li><li>
Assists in the collection of Patient Demographic Information and Continuous Quality Improvement Data.</li><li>
Assemble, file and maintain patient medical records</li><li>
Print patient schedule and pull patient charts daily.</li><li>
Arrange for package pickup and delivery.</li><li>
Assists with month-end reporting requirements.</li><li>
Participate in collaboration sessions such as center/team huddles and staff meetings.</li><li>
Attend education and training sessions as appropriate and apply key learnings.</li></ul>
SKILLS:<ul><li>
Knowledge of office procedures required.</li><li>
Proficient in Microsoft office applications</li><li>
Ability to adapt to supporting software applications.</li><li>
Professional attitude and appearance</li><li>
Solid written and verbal communication skills</li><li>
Ability to be resourceful and proactive when issues arise</li><li>
Strong organizational skills</li><li>
Multitasking and time-management skills, with the ability to prioritize tasks</li><li>
Customer service attitude</li></ul><h1 class="jobSectionHeader">
PHYSICAL DEMANDS AND WORKING CONDITIONS:</h1><ul><li>
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>
Day to day work includes desk and personal computer work and possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials</li></ul><h1 class="jobSectionHeader">
SUPERVISION:</h1><ul><li>
None</li></ul>
 EDUCATION:<ul><li>
High School Diploma or GED required</li></ul><h1 class="jobSectionHeader">
EXPERIENCE AND REQUIRED SKILLS:</h1><ul><li>
Minimum 6 months relevant experience without a degree.</li><li>
1-2 years related experience preferred.</li><li>
Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills.</li><li>
Pleasant telephone manner.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Clinic Administrative Assistant

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